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MARTIN JAY GOLLOUB LCSW, BCD
NPI 1659523926
Social Worker - Clinical in Glen Cove, NY

Active since October 17, 2008PECOS EnrolledAccepts Medicare Assignment
66 SUGAR MAPLE LN, GLEN COVE, NY 11542(516) 676-3830(516) 759-9503 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Martin Jay Golloub Lcsw, Bcd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN JAY GOLLOUB LCSW, BCD (NPI 1659523926) is an individual clinical provider in Glen Cove, New York, licensed in New York (PR014204-1) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1659523926
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARTIN JAY GOLLOUBCredential: LCSW, BCD
Location Address66 SUGAR MAPLE LNGlen Cove, NY 11542-1632
Mailing Address66 Sugar Maple LnGlen Cove, NY 11542-1632 · (516) 676-3830 · Fax (516) 759-9503
Phone(516) 676-3830
Fax(516) 759-9503
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateOctober 17, 2008
✔ NPI 1659523926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · PR014204-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
66 SUGAR MAPLE LN, Glen Cove, NY 11542
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Martin Jay Golloub Lcsw, Bcd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103108519
PECOS Enrollment IDI20170119002175
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Golloub's NPI number?

The NPI number for Martin Golloub is 1659523926. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Martin Golloub located?

Martin Golloub practices at 66 Sugar Maple Ln, Glen Cove, NY 11542. The listed phone number is (516) 676-3830.

What is Martin Golloub's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Martin Golloub enrolled in Medicare?

Yes. Martin Golloub is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Martin Golloub was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.